DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved
OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate
(0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection
of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the
Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft
Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE
I. APPROVED BY J. DATE
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STATUS REPORT
DI-MGMT-80368A/T
PWS para 5.8, 5.12
OO-ALC/OBHB
DD
N/A
C
Block 16
N/A
Block 16
Block 16
OO-ALC/OBHB
1
0
See Block 16
0
1
0
(4) Tailor DI-MGMT-80368A as follows: delete paragraph 3.2.1. b, d, e.
(9) DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government
agencies and their contractors for Administrative or Operational Use Only, 14 February
2019. Other requests for this document shall be referred to OO-ALC/OBC, Hill AFB, Utah.
(10)(12)(13) TCIR/DART Rates. Date of first submission: NLT 15 January 2020, then
annually. The report will reflect data from 1 January through 31 December, annually.
(10)(12)(13) A Monthly Status Report is due within 10 business days after the end of each
month of report to the AFMC OO-ALC/OBHB Contract Office Representative (COR).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents
or reconstruction of the document.
(14) One (1) each copy of the submittal shall be provided electronically to each addressee in
Block 16 in Microsoft Office or Adobe Acrobat compatible format.
ADDRESSEE:
OO-ALC/OBHB
Russell Mortensen, COR
6092 Fir Ave.
Bldg 1231, Rm 19
HILL AFB UTAH, 84056-5820
russell.mortensen@us.af.mil
Phone: 801-777-9171
NSP
RUSSELL B. MORTENSEN
MORTENSEN.RUSSELL.B.11529
51864
Digitally signed by
MORTENSEN.RUSSELL.B.1152951864
Date: 2019.05.01 09:28:10 -06'00'
1 MAY 2019
DAVID M. PETERSEN
PETERSEN.DAVID.M.12315
45502
Digitally signed by
PETERSEN.DAVID.M.1231545502
Date: 2019.05.03 13:36:13 -06'00'
3 MAY 2019
1
2
Adobe Professional 8.0
click to sign
signature
click to edit
click to sign
signature
click to edit
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001
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INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item
4.
Item 3. Enter subtitle of data item for further definition of data item
(optional entry).
Item 4. Enter Data Item Description (DID) number, military specification
number, or military standard number listed in DoD 5010.12-L (AMSDL), or
one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement
for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the
data item.
Item 7. Specify requirement for inspection/acceptance of the data item
by the Government.
Item 8. Specify requirement for approval of a draft before preparation of
the final data item.
Item 9. For technical data, specify requirement for contractor to mark the
appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when
applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered
to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of
submittal dates in Items 12 and 13; Explanation of reproducible copies in
Item 14.; Desired medium for delivery of the data item.
FOR
THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following
groups of effort in developing estimated prices for each data item
listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential
to the contractor's performance of the primary contracted effort
(production, development, testing, and administration) but which is
required by DD Form 1423.
Estimated Price - Costs to be included under Group I are
those applicable to preparing and assembling the data item in
conformance with Government requirements, and the
administration and other expenses related to reproducing and
delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the
performance of the primary contracted effort but the contractor is
required to perform additional work to conform to Government
requirements with regard to depth of content, format, frequency of
submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are
those incurred over and above the cost of the essential data item
without conforming to Government requirements, and the
administrative and other expenses related to reproducing and
delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must
develop for his internal use in performance of the primary
contracted effort and does not require any substantial change to
conform to Government requirements with regard to depth of
content, format, frequency of submittal, preparation, control, and
quality of the data item.
Estimated Price - Costs to be included under Group III are
the administrative and other expenses related to reproducing and
delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the
contractor as part of his normal operating procedures and his effort
in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown
on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion
of the total price which is estimated to be attributable to the
production or development for the Government of that item of data.
These estimated data prices shall be developed only from those
costs which will be incurred as a direct result of the requirement to
supply the data, over and above those costs which would
otherwise be incurred in performance of the contract if no data
were required. The estimated data prices shall not include any
amount for rights in data. The Government's right to use the data
shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001